Provider Demographics
NPI:1912907346
Name:RIZVI, ASAD ALI (MD)
Entity Type:Individual
Prefix:DR
First Name:ASAD
Middle Name:ALI
Last Name:RIZVI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 SEYMOUR ST
Mailing Address - Street 2:SUITE 1022
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-5581
Mailing Address - Country:US
Mailing Address - Phone:860-972-5083
Mailing Address - Fax:860-545-3558
Practice Address - Street 1:85 SEYMOUR ST
Practice Address - Street 2:SUITE 1022
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-5581
Practice Address - Country:US
Practice Address - Phone:860-972-5083
Practice Address - Fax:860-545-3558
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT038932207RC0000X, 207RI0011X
CT38932207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001389320Medicaid
CT0007556347OtherAETNA ID#
CT038932OtherCONNECTICARE
CT7391515OtherCIGNA ID#
CT7391515OtherCIGNA ID#
CTH54501Medicare UPIN
CT001389320Medicaid
CT2V2228OtherHEALTHNET ID#
CT30042OtherHEALTH NEW ENGLAND ID#
CT7391515001OtherCIGNA ID#
CT2777766OtherAETNA ID#